Background

NDS courses are based on Michael Shacklock's best-selling text, Clinical Neurodynamics, have been taught to more than 10k clinicians worldwide and are considered foundational for many in the musculoskeletal field.

Michael Shacklock proposed the concept of neurodynamics in 1995 with his paper in the British journal Physiotherapy in which various scientific cornerstones formed a key aspect of clinical practice in physiotherapy and physical therapy neurodynamics practice.

This has been developed on in his book Clinical Neurodynamics, 2005, Elsevier, Oxford in which the whole body is dealt with in diagnosis and treatment of many musculoskeletal syndromes with a neural component.

The courses by Neurodynamic Solutions are based on the philosophy of helping therapists develop their clinical skills and applying them to their patients. This course therefore contains approximately 65% practical and 35% theory.

The Clinical Neurodynamics - Lower Quarter Courses

NEW to 2026! Comprehensive Lower Quarter courses featuring all the essential content previously taught in both Level 1 and 2 courses.

Define a system of assessing peripheral nerve injuries of the lower quarter, including diagnostic categories, and clinical reasoning. After completing this course, practitioners will have improved their skills at detecting and managing the neurodynamic aspect to the following clinical conditions:

• Lumbar Radiculopathy (including Sciatica)
• Deep Gluteal / Piriformis Syndrome
• Hamstring Injury and the Sciatic Nerve
• Femoral nerve, thigh and knee pain
• Mid-Upper Lumbar Radiculopathy
• Sural at the Achilles Tendon, Ankle & Leg
• Heel Pain - Tibial and Medial Calcaneal Nerve - Tarsal Tunnel Syndrome and Digital Nerves
  

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FOURTEEN (14) hours are self-paced online content to be completed before attending the in-person session. SIXTEEN (16) hours of live and in-person learning over 2-days with an NDS instructor.

• You will be given access to the self-paced, online component approximately one month prior to the in-person course.

• Once you have begun the online component, there are absolutely no refunds. Transfers will be considered on a case-by-case basis.

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• 65:35 practical-theory.
• Strong hands-on and discussional elements.
• Many new manual techniques for the most significant neural problems seen in musculoskeletal practice.
• Systematic treatment progressions for Lumbar Radiculopathy (including Sciatica), Deep Gluteal / Piriformis Syndrome, Hamstring Injury and the Sciatic Nerve, Femoral nerve, thigh and knee pain, Mid-Upper Lumbar Radiculopathy, Sural at the Achilles Tendon, Ankle & Leg, Heel Pain - Tibial and Medial Calcaneal Nerve - Tarsal Tunnel Syndrome and Digital Nerves
  

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• Understand how nerves move.
• Painless nerve root mobilisations
• how to exclude neurodynamic disorders.
• Differentiate between musculoskeletal and neurodynamic components.
• Make a neurodynamic diagnosis
• Technique progressions from low to high functional levels.
• How to create, select and perform the best techniques for your patients.
• Manual precision of neurodynamic technique.
• How to detect contraindications for neurodynamic treatment.
• Manual skills, specifically the ability to feel abnormalities in movement related to the nervous system in the upper quarter.
• Abilities in diagnosis and interpretation of neurodynamic testing and musculoskeletal relationships.
• Clinician’s repertoire of diagnosis and treatment of techniques.
• Safety in relation to neurodynamics.

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Neurodynamics applied to the lumbar spine, hip, hamstrings and piriformis syndrome, anterior thigh, knee, achilles tendon, ankle/leg, foot and heel pain.

Highlights:

• General neurodynamic principles applied to the entire body and specifically  the lower quarter, including the lumbar spine, hip and piriformis syndrome, hamstring injury and heel pain due to tibial and medial calcaneal nerve disorders.
• Classifications of structures and mechanisms for diagnosis and treatment.
• Neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specific than in the past.
• How to differentiate nerve from other tissues with mechanical testing.
• How to make diagnosis and treatment more specific than before.

Concept of neurodynamics

• General neurodynamic principles applied to the entire body and specifically  the lower quarter, including the lumbopelvic region, hip pain and piriformis syndrome, hamstring strain and neurodynamic aspect to heel pain.
• Neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specifically than in the past.
• How to differentiate nerve from other tissues with mechanical testing.

Neurodynamic sequencing

• A method used to select and create progressions for patients.
• Appropriate for patients with severe neural pain progressed to the  athlete, performing artist and sports person.

Bilateral and contralateral neurodynamic testing

• Lower limb neurodynamic tests for lumbar nerve root and acute dural pain
• Progressional system to reduce force on lumbar nerve roots and progressively load them for more advanced patients
• Acute care model for the lumbar nerve root
• How to take tension off the lumbar nerve root.

Neuropathodynamics

• Expands the boundaries and classifications of neurodynamic dysfunctions.
• Lumbar interface, opening and closing dysfunctions.
• Lumbar neural tension and sliding dysfunctions.

Neurodynamic testing

•   Straight leg raise, slump test, prone knee bend.
• Peroneal/fibular, tibial and sural neurodynamic tests.
•  Sensitisation techniques for the neural tissues (level/type 3a).

Planning the physical examination

• How not to provoke pain but still treat the neurodynamic component.
• How to sensitize the examination and treatment for hidden neurodynamic problems, level 1, 2 and type 3a, 3b, 3c and 3d examinations.

Diagnosis with neurodynamic tests

• Differentiating neural tissue from neuromusculoskeletal tissues.
• Establishing what is normal and abnormal.
• What to do next.

Method of treatment

• System of technique progression.
• Hypersensitivity problems
• Subtle and hidden neural component and sensitised treatments.
• Directing treatment at pathophysiology.
• Progression from pathophysiology to pathomechanics.
• Neurodynamics applied to lumbar disc and intervertebral foramen biomechanics.

Treatment progressions

• Lumbar nerve root foraminal opening and closing dysfunctions
• Lumbar neural tension dysfunction.
• Combined neural tension and reduced closing dysfunctions (level/type 3c).
• Sciatic aspect to piriformis syndrome treatment combinations.
• Femoral Neuropathy and Upper Lumbar Radiculopathy
• Tarsal tunnel syndrome and foot pain.

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